Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Cardiogenic #Obstructive ... #Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Arrhythmia β€’ Obstructive ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Pharmacologic treatment ... algorithms by Global ... Initiative for Chronic Obstructive ... limitation, further evaluation ... #Management #Pulmonary
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... pomagnesemia Evaluation ... NPO, or profound shock ... Critical Care #Checklist ... #Hypokalemia #Management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... . dehydration. obstruction ... #Treatment #Algorithm ... #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - ... Revascularization, treatment ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Algorithm Drugs ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... Hypocalcemia (rarely) Treatment ... #Algorithm
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... warranting urgent treatment ... important because management ... Identification and treatment ... #Evaluation #Algorithm
β–Ί
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
Hypothermia - Protocol ... CPR β€’ Max 3 shocks ... #Hypothermia #Protocol ... #management #treatment ... #algorithm